23601 HWY 99 STE BZ3(.001 t4xt44WAY 9q SrZ t3
FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 [3EDMONDS
0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
www.FireDistrictl.org Fax (425) 551-1272 [1 UNINCORPORATED
LOCATION:
.23601 Highway 99 Suite B 98026
BUSINESS NAME: PHONE:
The Poodle Palace
MAILING
ADDRESS:
23601 Highway 99, Suite B, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1:
KEY ACCESS-2: Keys, Jeannie
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FI RE SYSTEMS:. FE 6/13
4257710900
HOME PHONE:
HOME PHONE: 3604354422
FREQUENCY STATION & SHIFT
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SCHEDULED
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CURRENT'
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
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I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
i-DATE:
2
5
DATE:
DATE:
VIOLATIONS
2 6
VIOLATIONS"%
1 5
2 6
PRE -CITATION
LETTER SENT
DATE:
CITATION ISSUED
NUMBER:
CODE
SECTION:
3
7
3
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RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED YES NO
LETTER NEEDED
18
FIRE PREVENTION
onds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake " T�Ierrace, and
WA 98208
OEDMONDS
0 BRIER
''FIR'' ti Town of Woo dway
DIST
Phone (425) 551-1200
El WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT�
LOCATION: 23601 Hwy 99
730
20 D
BUSINESS NAME: The Poodle fisl@ee—
PHONE: 4257710900
SCHEDULED
DATE DUE 06/01/13
MAILING 23601 Hwy 99 Suite 6
FIR 0 556 6006
�U
ADDRESS: Edmmonds
98026
BUSINESS OW I N I ER: Keys, Jeannie
HOME PHONE: 3604354422
EMERGENCY-1: Flugstaff Land Holding
HOME PHONE: 2065501724
CURRENT
KEY ACCESS-2:
HOME PHONE:
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INITIAL INSPECTION bAft
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4
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5
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6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLAT ONS
IC
DATE DUE'
DATE DUE,
GRANTED TO:
DATE DUE:
CITED -
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 15
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
7
4
8
4
8
�'LETTER NEEDED [] YES N01
[I YES [3 NO
IDATE:
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
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Serving.Brie'r, Edmonds
INSPECTION REPORT
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Mountlake Terrace, and
,,..1,2'4.,2.5,'.Moi4idianAv'e'.
Everett, WA 98209
EDMONDS
NBRIER
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DISTR
e Town of ffo6dway
T
- Phone (425) 551-1200
E]WOODWAY
El MOUNTLAKE T�RRACE
w"ww.FireDistrict1.org
Fax (425) 551-1272
0 UNINCORPORATED
(.1
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STA28N &dHIFT�
LOCATION:
23601 Hwy 99
B
BUSINESS NAME:
The Poodle Palace
PHONE: 4257710900
SCHEDULED 06/01/11
DATE DUE
MAILING
23601 Hwvy 99 Suite 6
LIFIR lo 556 6006
1
ADDRESS:
Edmmonds
98026
BUSINESS OWNER:
Keys, Jeannie
HOME PHONE: 3604354422
EMERGENCY-1:
Flugstaff Land Holding
2065501724
HOME PHONE:
rCURRENT
KEY A CESS-2:
HOME PHONE:
CITY YES NO
F El
PERSON CONTACTED: �A INITIAL INSPECTION DATE
NAME OF INSPECTOR:
A—fle 7—a Ile �z 1613al1l
FIRE FEj- 1Z
t_
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR,
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
,4
'8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [_1 No
LETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY
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